Individual
DR. ANTONIO QUIACHON VELASCO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 MULLICA HILL RD, MULLICA HILL, NJ 08062-4413
(856) 508-1000
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MB08310600
NJ
207RP1001X
Pulmonary Disease Physician
25MB08310600
NJ
Other
Enumeration date
07/04/2007
Last updated
09/19/2024
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